Andrea Teresa Dimichele-Manes, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

04-45692 Issued in KS

Practice address

310 E Walnut St
Garden City, KS 67846-5572

Phone

(620) 275-9752

Fax

(620) 275-4306

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Andrea Teresa Dimichele Professional name

Medicare fee-for-service enrollment

Enrolled in ID, ND2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Obstetrics/Gynecology

Education

Loyola University of Chicago, Stritch School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKenzie County Healthcare Systems IncGroup PAC ID 5890768006, shared by 5 NPIs, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McKenzie County Healthcare Systems Inc Hospital, Watford City, ND, CCN 351302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McKenzie County Healthcare Systems Inc

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1396516506
  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Critical Access Hospital
  • Watford City, ND
  • NPI 1518988948

  Obstetrics & Gynecology

  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Obstetrics & Gynecology Physician
  • Watford City, ND
  • NPI 1689364598
  NPD
• Pocatello Health Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pocatello, ID
  • NPI 1154089126
  NPD
• Pocatello Health Services, LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1215165485
  NPD
• Pocatello Health Services, LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1689802852
  NPD
• Commonspirit Kansas, Inc.

  • Obstetrics & Gynecology Physician
  • Dodge City, KS
  • NPI 1639953219
  NPD (past)
• Christiana Care Health Services Inc

  • Obstetrics & Gynecology Physician
  • Newark, DE
  • NPI 1376528729
  NPD (past)
• McKenzie County Healthcare Systems Inc

  • Clinic/Center
  • Watford City, ND
  • NPI 1063420495
  NPD (past)
• McKenzie County Healthcare Systems Inc

  • Family Medicine Physician
  • Williston, ND
  • NPI 1295568376
  NPD (past)
• McKenzie County Healthcare Systems Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Watford City, ND
  • NPI 1427079854
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McKenzie County Healthcare Systems Inc

  • Critical Access Hospital
  • Watford City, ND
  • NPI 1518988948
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1689774788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11083 W 2 1/2 MILE RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025208",
            "telephone_number": "910-639-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E WALNUT ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465572",
            "telephone_number": "620-275-9752",
            "fax_number": "620-275-4306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E Hawaii Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836866011",
            "country_code": "US",
            "telephone_number": "208-463-3138",
            "fax_number": "208-463-3047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMICHELE-MANES",
        "first_name": "ANDREA",
        "middle_name": "TERESA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200601542",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-45692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906092",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DIMICHELE",
            "middle_name": "TERESA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Garden City, KS
• Providers in Garden City, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.